Mr. C’s current situation has him showing signs of excessive weight gain. The fact that he has gained as much as 100 pounds in the last 2-3 years means that he is concerned about his wellbeing. Mr. C is complaining of the following:
Swelling of his ankles,
Difficulties breathing,
Sleep disorders,
Aching ankles, and
Problems when trying to move.
Upon medical assessment of the patient, the following symptoms were apparent:
Swollen angles,
Breathing difficulties,
Low self-esteem,
Pain around the ankles, and
Movement difficulties.
Part 1
Obesity comes with a long list of problems. Some of those problems can be directly related to mobility which is hindered by the extra weight a person has. In the case of Mr. C, faces the following problems:
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Fatigue ( Heymsfield &Wadden, 2017) - The extra weight Mr. C has means that he struggles to move. Most of the time he struggles when in movement which leaves him with physical manifestations such as swollen feet and ankles.
Depressions ( Heymsfield &Wadden, 2017) – In his quest to reduce weight, Mr. C has been affected mentally. It means that the extra weight is weighing down on him as he tries to find a way to cut weight whilst avoiding associated medical risks.
Breathing problems ( Heymsfield &Wadden, 2017) – Mr. C’s extra weight means that he has to put more effort when physically engaged. As such, he is always grasping for breath when the need for change in position arises.
Isolation dilemma ( Heymsfield &Wadden, 2017) - Most of the people in Mr. C’s life do not want to associate with him. They consider him slow and most of the time they avoid being around him. That has created a social gap as Mr. C feels unwanted.
Part 2
Being obese means being overweighed. There is no medical explanation for obesity but it is always associated with the extra weight a person bears ( Heymsfield &Wadden, 2017) . In this case, Mr. C faces the following medical concerns:
Physical hurt from the need to be mobile.
Social isolation as the people around him does not want to associate with him. This can be related to the fact that his being extra weighted means that he is slow and they consider him detrimental in whatever they do ( Heymsfield &Wadden, 2017) .
The inability to have a healthy sexual life ( Heymsfield &Wadden, 2017) . Mr. C will be considered as being sexually dysfunctional by the women he tries to approach. Their view can be related to the fact that his extra weight might hinder a perfect sexual life.
Depression – The need to be normal takes a mental toll on someone ( Heymsfield &Wadden, 2017) . As such, Mr. C is likely to be mentally challenged as he tries to accept his obese challenges while at the same time trying to connect with people.
Bariatric surgery can lead to long-term problems that manifest in a person. In this case, Mr. C hasn’t been obese for long. He still has time to try mitigation programs such as exercising to lose weight. As such, bariatric surgery is not necessary considering the problems it immediately poses such as changes in diet and limitations on eating habits.
Part 3
Eating habits
On the idea and need to reduce eight, Mr. C has problems trying to identify and settling on ideal meals. His eating patterns are affected as he feels that whatever he has been taking before has affected his health. As such, he tries to adopt new eating habits and dropping new ones.
Mental stability.
When you are overweighed in the case of being obese, society tends to look down on you ( Bray, et al., 2016) . As one tries to cope with such, it creates mental strains that can affect one’s thinking capabilities.
Societal coping
Mr. C needs people to feel normal. That means that his family and close ties need to be there for him. If they choose to abandon him, he will feel rejected. As such, he will have unanswered questions in his mind that makes him feel like he is wanting socially and that he needs to improve.
Sleeping disorders
Mr. C’s extra weight means that his breathing is affected. Poor sleeping position as he tries to be comfortable might lead to blockades which will have his breathing affected. As such, scenarios such as snoring and sleeping fatigue might establish themselves and affect him.
Low self-esteem and confidence ( Bray, et al., 2016) .
Most obese people face negligence. That manifests itself in terms of people not wanting to associate themselves with them. When an obese person is faced with such, they might develop attitudes where they feel inferior and self-doubt is created leading low self-esteem and loss of confidence.
Part 4
Mr. C has been significantly gaining weight for the last three years. Though not apparent, he needs kidney screening to identify how his kidney is coping. Contributing factors to consider include:
Ankle and feet swelling ( Bray, et al., 2016) .
Pains in the chest ( Bray, et al., 2016) .
Breathe shortness ( Bray, et al., 2016) .
Uncontrollable high blood pressure ( Bray, et al., 2016) .
Fatigues and weakness ( Bray, et al., 2016) .
Part 5
Mr. C’s health condition must be assessed. That will give room for identification of problems associated with his obese situation that are already apparent. The main outcomes of his physical wellbeing must be properly studied to develop a recovery program. The associated medical facility should absorb Mr. C in its recovery programs associated with obese people. It will give him a chance to know how worse of well off his situation is and choose perfect recovery programs.
Part 6
Most ESRD patients lias with hospitals to properly manage their problems ( Wadden & Bray, 2018) . Interdisciplinary care clinics are the perfect tools to help obese patients. Improved health outcomes are the goals for such associations. When a patient has been identified to require medical care, the following approach should be taken:
Most patients have hemodialysis as a medication option ( Wadden & Bray, 2018) . They also can invest in nephrologists to assess their situations and determine the severity of their situations ( Wadden & Bray, 2018) . Again. Predialysis education can be applied to sensitize people ( Wadden & Bray, 2018) .
Conclusion
Mr. C has showed signs of having difficulties connecting with people. That is based upon the fact that his mobility is hindered and that he doesn’t move around a lot. It has left a social gap in his life. Unless a serious diagnosis is given to him, the situation will get worse. He is already unsure of his dietal guidelines meaning he is consuming means rich in starch and glucose without noticing.
References
Bray, G. A., Frühbeck, G., Ryan, D. H., & Wilding, J. P. (2016). Management of obesity. The
Lancet , 387 (10031), 1947-1956.
Heymsfield, S. B., & Wadden, T. A. (2017). Mechanisms, pathophysiology, and management of
obesity. New England Journal of Medicine , 376 (3), 254-266.
Wadden, T. A., & Bray, G. A. (Eds.). (2018). Handbook of obesity treatment . Guilford
Publications.